Hanna, Suzan

Hanna, Suzan is an individual health care provider with primary practice located at 1303 W 6Th St Ste 105 , Corona CA 92882-3196. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Hanna, Suzan can be contacted via phone (951) 278-8910.

Contact Information

Primary practice address
1303 W 6Th St Ste 105 Corona CA 92882-3196
Fax: (951) 278-9895
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A55301 California
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X A55301 California
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A55301 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A53301 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A55301A California

Profile Details

NPI number 1619195625
LBN Legal business name Hanna, Suzan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619195625 NPPES
California MEDICAID 00A553010

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